Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000179 DEA: 081M8504 EFIS: 0822000054
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-111-0.0/18.5
Work Description: RHMA (GAP-GRADED), COLD PLANE AC PVMT, THERMOPLASTIC TRAFFIC STRIPE.
Location Description: RIVERSIDE COUNTY AT SALTON SEA FROM IMPERIAL COUNTY LINE TO 0.1 MILE NORTH OF 66TH AVENUE
Contractor Name: MARTIN MARIETTA SAN DIEGO AGGREGATES LLC DBA ATP GENERAL ENGINEERING CONTRACTORS
Contractor Address: 2225 Kansas Ave, Riverside, CA 92507
Resident Engineer: Khoi Vu Structure Rep.: Unknown
DIME Sample ID: 2024-09-05-127
TL Number from the TL Form: 7541-6002-4
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/05/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/05/2024
The quantity of what the sample constitutes: 40 Boxes, 2QTS PG64-16, 2QTs RB, 3 bags each (3/4",1/2",3/8", Rock Dust)
A brief description of the sample: 3/4"RHMA
From where was the sample collected: Supplier
Laboratory sample identification: 0459G-24
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: MM Coachella
